PMID- 33815011
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210709
IS  - 1520-765X (Print)
IS  - 1554-2815 (Electronic)
IS  - 1520-765X (Linking)
VI  - 23
IP  - Suppl A
DP  - 2021 Mar
TI  - Pump flow setting and assessment of unloading in clinical practice.
PG  - A23-A26
LID - 10.1093/eurheartj/suab004 [doi]
AB  - The rationale for mechanical circulatory support (MCS) in cardiogenic shock is to 
      restore cardiac output in selected patients when critically low or in case of 
      refractory cardiac arrest. Furthermore, an MCS device that moves blood from 
      either the left atrium or the left ventricle to the systemic circulation will 
      potentially unload the ventricle. These devices are used alone or in combination 
      with venoarterial extracorporeal membrane oxygenation (VA-ECMO). If a left-sided 
      Impella device is used, it should be run at the highest possible performance 
      level during treatment while avoiding suction events. When combined with VA-ECMO, 
      the Impella device should be run at a lower performance level, ensuring 
      sufficient left ventricular emptying but avoiding suction. Continuous monitoring 
      is pivotal and patients managed outside the catheterization laboratory should be 
      monitored with an arterial line, a central venous catheter, frequent use of 
      pulmonary artery catheters and regular imaging by transthoracic echocardiogram.
CI  - Published on behalf of the European Society of Cardiology. (c) The Author(s) 2021.
FAU - Moller, Jacob Eifer
AU  - Moller JE
AD  - Department of Cardiology, Odense University Hospital and Cardiac Intensive Care 
      Unit, Heart Center, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej, 
      DK - 2100 Copenhagen, Denmark.
FAU - Hassager, Christian
AU  - Hassager C
AD  - Department of Cardiology, Rigshospitalet, Blegdamsvej, DK - 2100 Copenhagen, 
      Denmark.
AD  - Department of Clinical Medicine, University of Copenhagen, Blegdamsvej, DK - 2100 
      Copenhagen, Denmark.
FAU - Bonello, Laurent
AU  - Bonello L
AD  - Department of Cardiology, Aix-Marseille Universite, Cardiac Intensive Care Unit, 
      Assistance Publique-Hopitaux de Marseille, Hopital Nord, Mediterranean 
      Association for Research and Studies in Cardiology (MARS Cardio), 80 Rue 
      Brochier, 13005 Marseille, France.
FAU - Delmas, Clement
AU  - Delmas C
AD  - Intensive Cardiac Care Unit-Acute and Chronic Mechanical Circulatory Support Team 
      Rangueil University Hospital, Avenue du Professeur Jean Poulhes, 31400 Toulouse, 
      France.
FAU - Pappalardo, Federico
AU  - Pappalardo F
AD  - Department of Anesthesia and Intensive Care, IRCCS ISMETT, UPMC Italy, Via 
      Ernesto Tricomi, 5, 90127 Palermo, Italy.
LA  - eng
PT  - Journal Article
DEP - 20210327
PL  - England
TA  - Eur Heart J Suppl
JT  - European heart journal supplements : journal of the European Society of 
      Cardiology
JID - 100886647
PMC - PMC8005883
OTO - NOTNLM
OT  - Mechanical circulatory support
OT  - Patient monitoring
OT  - Unloading
EDAT- 2021/04/06 06:00
MHDA- 2021/04/06 06:01
PMCR- 2021/03/27
CRDT- 2021/04/05 05:55
PHST- 2021/04/05 05:55 [entrez]
PHST- 2021/04/06 06:00 [pubmed]
PHST- 2021/04/06 06:01 [medline]
PHST- 2021/03/27 00:00 [pmc-release]
AID - suab004 [pii]
AID - 10.1093/eurheartj/suab004 [doi]
PST - epublish
SO  - Eur Heart J Suppl. 2021 Mar 27;23(Suppl A):A23-A26. doi: 
      10.1093/eurheartj/suab004. eCollection 2021 Mar.